MEDICARE: LORI VANHOFF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1992458251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI VANHOFF

Provider Business Mailing Address
First Line	:	3460 E SHEFFIELD RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-7386
Country	:	US
Telephone Number	:	480-410-0695
Fax Number	:

Provider Business Practice Location Address
First Line	:	3460 E SHEFFIELD RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-7386
Country	:	US
Telephone Number	:	480-410-0695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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Directions to “ LORI VANHOFF ” Practice Location

Language	Start Address	Practice Location

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